在生命的尽头绽放光彩

Theoretical medicine and bioethics Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI:10.1007/s11017-024-09679-x
Xavier Symons, John Rhee, Anthony Tanous, Tracy Balboni, Tyler J VanderWeele
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引用次数: 0

摘要

在人类福祉研究中,"幸福 "是一个越来越常用的概念。但是,它是否适合作为人生某些阶段的福祉框架却存在争议。在本文中,我们将探讨一个人在生命的最后阶段在多大程度上有可能实现幸福。身患绝症的人往往会经历巨大而漫长的痛苦,尤其是当他们选择延长生命的治疗方法时。然而,在生命即将结束的时候,人类某些方面的物品--如意义和目的、深厚的人际关系、品格和美德--可以独特地实现,而这些物品正是蓬勃发展的合理组成部分。我们认为,在一定意义上,人在生命终结时是可以蓬勃发展的,但我们必须对传统蓬勃发展概念中隐含的标准做出重要修改。最后,我们讨论了生命末期幸福感的实证评估,并探讨了在姑息关怀实践中引入蓬勃发展衡量标准的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Flourishing at the end of life.

Flourishing is an increasingly common construct employed in the study of human wellbeing. But its appropriateness as a framework of wellbeing at certain stages of life is contested. In this paper, we consider to what extent it is possible for someone to flourish at the end of life. People with terminal illness often experience significant and protracted pain and suffering especially when they opt for treatments that prolong life. Certain aspects of human goods, however, that are plausibly constitutive of flourishing-such as meaning and purpose, deep personal relationships, and character and virtue-can be uniquely realised when life is ending. We argue that there is a qualified sense in which one can flourish at the end of life but that one must make important modifications to the criteria implicit in conventional conceptions of flourishing. We close with a discussion of the empirical assessment of wellbeing at the end of life and explore the possibility of introducing a flourishing measure in palliative care practice.

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